<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">uniacid</label>
            <div class="layui-input-block">
                <input type="text" name="uniacid" class="layui-input"  placeholder="请输入uniacid" value="{$row.uniacid|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">票务编号</label>
            <div class="layui-input-block">
                <input type="text" name="ticket_sn" class="layui-input"  placeholder="请输入票务编号" value="{$row.ticket_sn|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">门票类型1=门票2次卡3年卡</label>
            <div class="layui-input-block">
                <input type="text" name="ticket_type" class="layui-input"  placeholder="请输入门票类型1=门票2次卡3年卡" value="{$row.ticket_type|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">核销人的用户ID</label>
            <div class="layui-input-block">
                <input type="text" name="hx_user_id" class="layui-input"  placeholder="请输入核销人的用户ID" value="{$row.hx_user_id|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">管理员ID</label>
            <div class="layui-input-block">
                <input type="text" name="admin_id" class="layui-input"  placeholder="请输入管理员ID" value="{$row.admin_id|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">日志标示</label>
            <div class="layui-input-block">
                <input type="text" name="tag" class="layui-input"  placeholder="请输入日志标示" value="{$row.tag|default=''}">
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>